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Pharmacy Pricing
Quiz by Nicole Talarico
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- Q1
As more generic manufacturers enter the market to manufacture a specific drug, the AWP discount
�Increases
Decreases�
Stays the same
Increases at first, but then decreases�
30s - Q2
What happens if another PBM classifies Single Source Generics as a Brand?
The brand minimum discount guarantees will stay the same
None of the above
The brand minimum discount guarantees will be decreased
The brand minimum discount guarantees will be inflated
30s - Q3
When it comes to repricing
All of the above
The broker/consultant should reprice the claims file with our enhanced discounts
You should be aware that when a broker/consultant asks for a claims file, it is because they are conducting a market check or looking at competitors. Also be sure to ask the broker/consultant what time period they are using for the reprice�
We should be offering to provide are priced claims file with current pricing
30s - Q4
What do we see other PBMs exclude from their 100% pass through rebate offer?
Dispensing Fees� &� Over the Counter (OTC) and Limited Distribution Drugs (LDD)
Manufacturer Admin Fees (MAF) & Price Protection
30s - Q5
The following are all questions you should ask a broker/consultant when they request a reprice except:�
What type of formulary are they using
�How many members does the competitor have?
Are single source generics counted as generics or brands?
Is there an admin charge for vaccines or COVID testing products
30s - Q6
What do we see other PBMs exclude that would impact a rebate guarantee?
Over the Counter (OTC) and Limited Distribution Drugs (LDD)
Manufacturer Admin Fees (MAF)
Price Protection
Dispensing Fees
30s